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EN
Purpose: The medical services market in developed countries is subject to market principles only to a limited extent. In fact, its size and directions of development are determined by all stakeholders through their influence on consumers and payers of health services. The aim of this study is to identify the main market participants and forms of influence used to modify the supply and demand for health services. Design/methodology/approach: The basic research problem concerns the identification of interest groups influencing the size of the health services market and forms of influence on other market participants to ensure the implementation of the set health and economic objectives. Findings: The influence of medical market interest groups leads to an increase in the quantity and quality of medical services provided to consumers in excess of market demand. It also causes a permanent failure to meet the demand for free health services. Practical implications: The planning of health expenditures should take into account the activity of interest groups operating in the health services market, which leads to an inefficient allocation of financial resources expected by society to finance health services and public, economic, and social institutions operating in its immediate vicinity. Social implications: The present paper is a voice in the discussion on the rationalization of health expenditures incurred by society. The decision on the scope of health services provided is ultimately a political decision. However, it is necessary to rationally channel the financial flows from public and private payers to health and peri-health care providers, medical equipment and pharmaceutical manufacturers, and private and public health sector administration. Originality/value: Identification of entities directly influencing the health services market in Poland.
PL
Kontynuując badania nad wybranymi zagadnieniami finansów publicznych w sektorze ochrony zdrowia oraz ilościowymi metodami wspomagania podejmowania decyzji, związanymi z tymi zagadnieniami, w pracy poddano analizie podstawowe problemy decyzyjne sformułowane w [Lubicz 2004]. Na przykładzie regionalnego systemu opieki zdrowotnej na Dolnym Śląsku przedstawiono sposoby rozwiązywania problemów alokacji finansowej w regionalnym systemie ochrony zdrowia z wykorzystaniem prostych metod prognozowania i analizy systemowej. Rozważania zilustrowano przykładem liczbowym kontraktowania wybranej kategorii usług zdrowotnych na rok 2006.
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